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1861871840
ROGER FRANCIS FONTANA
UTICA, NY
NPI
1861871840
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: NY R072145-1)
Enumeration Date
2015-05-25
Last Update Date
2015-05-25
Business Address
Mr. ROGER FRANCIS FONTANA
2626 GENESEE ST
UTICA, NY 13502-6003
Phone number: 315-724-5344
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Mailing Address
Mr. ROGER FRANCIS FONTANA
6940 HARRIS RD
POLAND, NY 13431-1106
Phone number: 315-292-8722
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